Provider Demographics
NPI:1831764349
Name:KAZIE GROUP, INC
Entity type:Organization
Organization Name:KAZIE GROUP, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VP/ SECRETARY/ COO
Authorized Official - Prefix:MRS
Authorized Official - First Name:KATHLEEN
Authorized Official - Middle Name:ANNE
Authorized Official - Last Name:AZIE
Authorized Official - Suffix:
Authorized Official - Credentials:APRN
Authorized Official - Phone:267-255-5137
Mailing Address - Street 1:10544 MARTINIQUE ISLE DR
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33647-2774
Mailing Address - Country:US
Mailing Address - Phone:267-255-5137
Mailing Address - Fax:
Practice Address - Street 1:137 S PEBBLE BEACH BLVD STE 204
Practice Address - Street 2:
Practice Address - City:SUN CITY CENTER
Practice Address - State:FL
Practice Address - Zip Code:33573-5708
Practice Address - Country:US
Practice Address - Phone:267-255-5137
Practice Address - Fax:205-846-0385
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-05-26
Last Update Date:2021-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care